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Clin Colon Rectal Surg
DOI: 10.1055/s-0045-1804514
Review Article

Ways to Repair Multicompartment Prolapse: Decision-Making and Surgical Approach

Sara Rahman
1   Division of Urogynecology and Pelvic Floor Disorders, Obstetrics and Gynecology Institute, Cleveland Clinic, Cleveland, Ohio
,
Shannon L. Wallace
2   Division of Urogynecology and Pelvic Floor Disorders, Ob/Gyn and Women's Health Institute, Cleveland Clinic, Cleveland, Ohio
,
Anna R. Spivak
3   Section of Pelvic Floor Surgery, Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio
,
Vanessa A. Hortian
4   Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio
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Abstract

Multicompartment pelvic organ prolapse (POP) occurs when multiple pelvic organs herniate through the pelvic floor, impacting quality of life and daily function. Concomitant POP and rectal prolapse are common but often underrecognized. A multidisciplinary approach involving urology, urogynecology, and colorectal surgery is essential for comprehensive care and improved outcomes. Concurrent surgeries are increasingly performed, allowing patients to address both conditions in a single operation without heightened complication rates. Treatment for rectal and vaginal prolapse can be achieved through robotic, laparoscopic, open abdominal, or vaginal/perineal approaches. Surgical selection is guided by patient comorbidities, treatment goals, the choice of mesh versus native tissue repair, and the surgeon's experience. This article presents five different approaches to illustrate the nuances of combined surgical approaches, offering insights into optimizing the treatment of multicompartment POP.

Keywords

multicompartment prolapse - rectal prolapse - vaginal prolapse - pelvic organ prolapse - suture rectopexy - ventral rectopexy - sacrocolpopexy - hysteropexy


Publication History

Article published online:
24 February 2025

© 2025. Thieme. All rights reserved.

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